NANASI 2 May 2002
IN THIS NANASI:
- What are our sister hospitals doing about AIDS? Details on Kenya's 57 church hospitals
- Preventing mother-to-child transmission of HIV - brief guidelines
- Where to buy Nevirapine, and how little it costs
- Where to buy HIV tests, and how little they cost
WHAT ARE OUR SISTER HOSPITALS DOING ABOUT AIDS?
In the first issue of NANASI, you received a summary report of the recent survey of Kenyan church hospitals, and how they are caring for people infected with HIV. Many readers have asked for details of their sister hospitals, particularly their neighbors, so they can share experiences and learn from each other.
In this issue, you will find a chart of the 57 hospitals, arranged by province and district. The chart includes the latest information received from each hospital, up to 1 May 2002.
Here are the main questions we asked and a key to the abbreviations in the chart:
Affiliation: Catholic, Protestant, Other
Inpatient activity: How many patients were in beds the day of our interview? - Small <30, Medium 30-80, Large >80
Counselors: How many staff have had some training in counseling skills?
Walk-in testing program: Can someone walk in, be tested for HIV (without consulting a doctor or CO), and receive test results the same day?
Preventing Mother-To-Child Transmission: Are women in the ante-natal clinic offered Nevirapine for themselves and their newborn infant (with or without testing)?
Protocol for post-exposure prophylaxis: Are procedures in place and are drugs available for immediate ARV treatment after rape or a needle stick?
Active follow-up: Are records kept and are all HIV+ patients given review dates, to come whether they are sick or not?
Trained in Anti-Retrovirals: How many doctors or COs have attended a workshop on using ARV drugs?
Patients started on Anti-Retrovirals: How many patients have begun using ARVs?
HIV/AIDS support groups: Does the hospital foster clubs or groups for persons living with HIV/AIDS?
Special end-of-life program: Does the hospital assure home support when a terminally ill patient leaves the hospital?
Local church involvement: Does the hospital work with local church groups in the care and support of AIDS patients?
** Asterisks indicate an important, noteworthy activity at this hospital - a model for others
The survey of church hospitals was carried out by J Brown (PhD), R Brown (MD, MPH), and E Manuthu (MBChB). on behalf of these three agencies:
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